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The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.

Predictive value of clinical features for the obstructive sleep apnoea syndrome

Deegan, PC, McNicholas, WT·1996·European Respiratory Journal
DOI 10.1183/09031936.96.09010117
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Abstract

The advantage of being a National Referral Centre for patients with suspected obstructive sleep apnoea (OSA) was used to seek clinical factors predictive of OSA, and thus determine if the number of polysomnography tests required could be reduced. Patients were mainly primary referrals, from an island population of 3.5 million. Two hundred and fifty consecutive patients underwent clinical assessment, full polysomnography, and a detailed self-administered questionnaire. This represents one of the largest European studies, so far, utilizing full polysomnography. Fifty four percent (n = 134) had polysomnographic evidence of OSA (apnoea/hypopnoea index (AHI) > or = 15 events.h-1 sleep). Patients with OSA were more likely to be male, and had a significantly greater prevalence of habitual snoring, sleeping supine, wakening with heartburn, and dozing whilst driving. Alcohol intake, age and body mass index (BMI) were significant independent correlates of AHI. After controlling for BMI and age, waist circumference correlated more closely with AHI than neck circumference among males, while the opposite was true among females. No single factor was usefully predictive of obstructive sleep apnoea. However, combining clinical features and oximetry data, where appropriate, approximately one third of patients could be confidently designated as having obstructive sleep apnoea or not. The remaining two thirds of patients would still require more detailed sleep studies, such as full polysomnography, to reach a confident diagnosis.

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  • There is a poor relationship between daytime symptoms such as sleepiness and the severity of obstructive sleep apnea recorded in a sleep study.

    “there is a poor relationship between daytime symptoms such as sleepiness and the severity of OSA recorded in a sleep study (Deegan & McNicholas, 1996)”

    From Obstructive sleep apnea: transition from pathophysiology to an integrative disease model (2022) · cites this paper as Deegan & McNicholas, 1996

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Citations

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Research works printed but not linked: 24

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  8. Davies RJ, Ali NJ, Stradling JR. Neck circumference and other clinical features in the diagnosis of the obstruc- tive sleep apnoea syndrome. Thorax 1992; 47: 101-105.
  9. Hoffstein V, Szalai JP. Predictive value of clinical fea- tures in diagnosing obstructive sleep apnea. Sleep 1993; 16: 118-122.
  10. Rauscher H, Popp W, Zwick H. Model for investigat- ing snorers with suspected sleep apnoea. Thorax 1993; 48: 275-279.
  11. Kump K, Whalen C, Tishler PV, et al. Assessment of the validity and utility of a sleep-symptom questionnaire. Am J Respir Crit Care Med 1994; 150: 735-741.
  12. Flemons WW, Whitelaw WW, Brant R, Remmers JE. Liklihood ratios for a sleep apnea clinical prediction rule. Am J Respir Crit Care Med 1994; 150: 1279-1285.
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  17. Katz I, Stradling J, Slutsky AS, Zamel N, Hoffstein V. Do patients with obstructive sleep apnea have thick necks? Am Rev Respir Dis 1990; 141: 1228-1231.
  18. Davies RJ, Stradling JR. The relationship between neck circumference, radiographic pharyngeal anatomy and the obstructive sleep apnoea syndrome. Eur Respir J 1990; 3: 509-514.
  19. Thorpy MJ. The clinical use of the Multiple Sleep Latency Test: the Standards of Practice Committee of the American Sleep Disorders Association. Sleep 1992; 15: 268-276. (Erratum, Sleep 1992; 15: 381).
  20. Scrima L, Broudy M, Nay KN, Cohn MA. Increased severity of obstructive sleep apnea after bedtime alcohol ingestion. Sleep 1982; 5: 318-328.
  21. Issa FG, Sullivan CE. Alcohol, snoring and sleep apnea. J Neurol Neurosurg Psychiatry 1982; 5: 353-359.
  22. Cooper BG, Veale D, Griffiths CJ, Gibson GJ. Value of nocturnal oxygen saturation as a screening test for sleep apnoea. Thorax 1991; 46: 586-588.
  23. Williams AJ, Yu G, Santiago S, Stein M. Screening for sleep apnea using pulse oximetry and a clinical score. Chest 1991; 100: 631-635.
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Metadata

Authors
Deegan, P., & McNicholas, W.
Venue
European Respiratory Journal
Publisher
European Respiratory Society (ERS)
Published
1996-01-01
Volume
9
Issue
1
Pages
117-124
ISSN
  • 0903-1936
  • 1399-3003
DOI
10.1183/09031936.96.09010117
Cited by
176
References
1
Language
en

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